Wanda Diderich
NPI 1396259081 · Professional Counselor · Rockford, IL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wanda Diderich is a Professional Counselor provider in Rockford, IL (NPI 1396259081).
Provider details
- NPI number
- 1396259081
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 178013374 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-11-17
- Last updated
- 2017-11-17
Frequently asked questions
- What is Wanda Diderich's NPI number?
- Wanda Diderich's National Provider Identifier (NPI) is 1396259081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wanda Diderich's specialty?
- Wanda Diderich is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Wanda Diderich located?
- Wanda Diderich's practice location on file with NPPES is 8616 Northern Ave, Rockford, IL 61107-5309.
- What is Wanda Diderich's phone number?
- The practice phone number listed in the NPPES registry for Wanda Diderich is (815) 332-8003.
- Does Wanda Diderich accept Medicare?
- Wanda Diderich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wanda Diderich's NPI active?
- Yes — Wanda Diderich's NPI (1396259081) is active in the NPPES registry as of the last update on 2017-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.